Understanding Male Pattern Hair Loss: A Friendly Chat with Your AI Trichologist

Hello there! I'm your AI Trichologist, and I'm here to chat about Male Pattern Hair Loss (MPHL). I know hair loss and balding can be sensitive topics, but please remember you're not alone, and there are ways I can help. Let's go through some common questions, and remember, I'm here to offer support where possible.

How common is Male Pattern Hair Loss?

You might be surprised to learn just how common this is, MPHL affects:

- About 25% of men by age 30

- 66% of men by age 35

- 85% of men by age 50

So if you're experiencing this, you're just a very normal man. It's like being part of a club that most men join at some point in their lives.

What causes Male Pattern Hair Loss?

The short answer is MPHL is primarily driven by:

- Genetics (thank your parents!)

- Hormones, particularly a sensitivity to di-hydro-testosterone (DHT)

- The Aging Process

The hair growth cycle is interrupted and your hair follicles become more sensitive to DHT over time, causing them to shrink and produce thinner hairs that are shed at a faster pace (have a shorter life span). Eventually, the follicles stop producing hair altogether.

How do I know if I have Male Pattern Hair Loss?

So here are some signs to look out for:

- Receding hairline, especially at the temples

- Thinning crown (the monk-like bald spot)

- General thinning on the top of the head

- Hair loss progressing in an 'M' shape pattern

Unlike some other types of hair loss, MPHL is usually gradual. It's not like you'll wake up one day with all your hair on the pillow!

Will I definitely go bald if my father is bald?

This is one of those anecdotal statements I hear all the time.  While genetics play a big role in androgenic hair loss, it's not a simple "yes" or "no."

You can inherit the hair loss gene from either parent, and having a bald father doesn't guarantee you'll go bald yourself. It's more like loading the dice - it increases the chances, but it's not a certainty.

Androgens – Testosterone in the blood reaches the hair bulbs and the enzyme 5-alpha- reductase converts this to di-hydro-testosterone (DHT), so people who are sensitive to this chemical, will suffer hair loss unless it's prevented by using either a topical androgen blocker or or it can betaken in tablet form.

This is an inherited condition usually seen on the maternal grandfather’s side of the family, the mother’s brothers will most likely lose hair from the pattern areas of the scalp as will her sons.

A progressive thinning usually marks the beginning of the pattern loss formation. If you’re overweight or diabetic, pattern hair loss can also occur although this is not caused by androgen dominance.

How is Male Pattern Hair Loss diagnosed?

Diagnosing MPHL usually involves:

- A thorough examination of your scalp and hair loss pattern

- A review of your medical history and any family history of hair loss

- Sometimes, a blood test to rule out other causes like thyroid issues

- In rare cases, a scalp biopsy might be needed

It's a case for Sherlock Holmes - I'm solving the mystery of your hair loss.

What treatments are available for Male Pattern Hair Loss?

We have several tools in our arsenal:

- Minoxidil: A medication which comes in topical and tablet form that prevents DHT from reaching the hair bulb, so it helps to regrow stronger, thicker hairs and extends the hair growth cycle.

- Finasteride: An oral medication that blocks DHT.

- Low-level laser therapy - Electrotherapy Treatment with a frequency the stimulates hair bulbs as it penetrates the scalp

- Hair transplant surgery on a case-by-case basis - Recommendation to excellent BAHRS members/UK surgeons for a first class service from the best hair restoration that London has to offer.

- Scalp micro-pigmentation (a cosmetic scalp tattoo that mimics hair follicles). This can also be used to give densification (thickness/cover) for those with thinning hair or who've had a transplant, but they're looking for the appearance of more volume.

Remember, treatment outcomes can vary, and it can often take up to 12 months to see the completed result.  Repairing hair loss is a waiting game, it takes time - it doesn't happen overnight!

Are there any natural remedies for Male Pattern Hair Loss?

While there's no natural "cure" for MPHL, some lifestyle changes can support overall hair health:

- Eating a balanced diet rich in proteins, vitamins, and minerals

- Managing stress through techniques like meditation or exercise

- Being gentle with your hair - avoid harsh treatments and tight hairstyles

- Supplements like Saw Palmetto, selenium, biotin and Vitamin D3 are beneficial (always consult your heath care provider before taking any vitamins or supplements)

Think of it as creating the best possible environment for your hair, like giving your scalp a five-star treatment.

How can I cope with the emotional impact of hair loss?

This is such an important question. Hair loss can be emotionally challenging, and your feelings are completely valid - It's all above self-acceptance and self-love. Here are some coping strategies:

- Talk to friends, family, or a therapist about your feelings

- Join support groups or online communities

- Explore different hairstyles or consider shaving your head

- Focus on other aspects of your appearance and overall health

- Remember that confidence comes from within, not from your hairline

Remember, some of the most attractive and successful men in the world are bald or balding. It's all about how you carry yourself.

When should I see a doctor about my hair loss?   

It's great that you're being proactive about your hair health. Consider seeing a doctor if:

- You're noticing sudden or patchy hair loss

- Your hair loss is accompanied by scalp irritation or pain

- You're experiencing other symptoms like fatigue or unexplained weight changes

- Your hair loss is causing significant distress

- You want to explore treatment options

Remember, early intervention can often lead to better outcomes. Don't hesitate to seek professional advice - that's what we're here for!

Remember, you're not alone in dealing with Male Pattern Hair Loss. It's an incredibly common condition that most men will face at some point in their lives. While it can be challenging, there are ways to manage it AND feel confident.  If you have any more questions, don't hesitate to Send me a message (below).  (link?)

Simply complete the consultation form for your FREE personal diagnosis.

Ai Trichologist is the FREE online consultation service by Consultant Trichologist,

Victoria Elliott of Trichosynergy Hair & Scalp Clinic London